Organization
ATLANTIC UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MYNATT M.D (OWNER M.D)
(910) 362-8765
Entity
Organization
Contact information
Practice address
20 MEDICAL CAMPUS DR, SUITE 202, SUPPLY, NC 28462-4096
(910) 362-8765
Mailing address
PO BOX 30727, CHARLOTTE, NC 28230-0727
(910) 362-8765
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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